Initiates Prior Authorization submissions and completes all follow-ups for all insurance
Payors including Medicare Advantage, Medicaid, HMO, PPO, and Commercial until the case
has reached a determination. Compiles pre-certification information to submit prior authorization requests via outbound
phone calls and/or web-based sites (familiarity with payors). Performs regular follow-up calls with insurance companies to check the status of prior
authorization requests. Logs approval in the database.
